HomeMy WebLinkAbout041-430-025r
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-025 ,'
R,h0S'' David
3897 Doubletree' Rd,*' Oroville t . t €'
(burn'letter
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041,-430-025 PERMIT#95=2785,:
SCOTT,vThomas W. '
3897 Doubletree Rd.,-oroville�
Add Cov Over Ex Deck/SF
041-430=025 {"PERMIT#96-0535
SCOTT, 'Thomas W: '• c ; `,
'3897 Doubletree',Rd:, Oroville l Gly
Conv To Disabled Access,/SF �Il
041-430-025 PERMIT#96-0684 '-
SCOTT, Thomas W.
3897 Doubletree Rd., Oroville s_
Cont; Poor Little Const: /
Reroof/SFS
041-43-0-025 96-0973Qj ,E
SCOTT, Thomas W %��
3897 Doubletree Road, Orovill'e
(gas wtr htr/elec) Poor Little -C.
B08-0288 SA f*l6.D 041-430-025
MISCELLANEOUS Re -Roof
REROOF COMP 42 SQ'S
3897 DOUBLETREE RD
ROBERTSON, HAROLD F TRUST
r__
RESIDENTIAL
041-430-025 PERMIT#95-2785
SCOTT, Thomas W.
3897 Doubletree Rd., oroville
Add Cov Over Ex Deck/SF
JOB FINALED (Date)
r. Signature
V=OK
0 = Not OK
• = NottRepady MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s I D.
1. Zoning Requirements - Setbacks - Easements
MISCELLANEOUS
3. Dec"lyders an or Joists -Decking -Bracing -Stairs -Rails
t$oolfflood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Nater Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date 'Card B-1
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /'L'ft.
/ /Nat. or/ /Lt./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-DemandVake-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Can.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
3. Dec"lyders an or Joists -Decking -Bracing -Stairs -Rails
t$oolfflood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frrng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Nater Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date 'Card B-1
J=OK
O = Not OK
- = Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
' =
Date
UNDERFLOOR (Plans) OK except k's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec'. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Deptn
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except rr's
------ - ---
16. Water Htr.: Vent -Access -Combustion Air-Baffie
- - ---------------------
17. Water Pipe: Test & Anchor -Nail Protection-
- -------------------------
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
------------------------
----------- ----- --- ---
19. Shower Pan: Test. First Floor -Tub Access
_19.
- - - - -------------- ----------
20. Test - -&-Shower,- & -Shower.-Second-Floor-Tub Access
--------------------
21. Gas Pipe: Size & Anchors
-------------------------------------------------------------------------------
Date Card B-1 Date Carc B-1
--------------------------------------------------- ---------- --- ------
Date Card B-1 Date Card B-1
Date. ELECTRICAL (Permit) OK except P's
22. Fixture & Transformer Clearance -Ins. Protection
------------------------------------------------------------- --
23.
---------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
--------------------------------------------------------------- ------- --
24. Size Boxes & No. of Conductors -Stapled
------------ - --------------------------------------------. ... _.. ..
25 Romex Installed Close to Edge of Studs & C.J.
26 Equip Ground made up wrMech Fasiners-Bond Gas & Water
--------- -------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI
------------------------------------------------ _ ... ... ... ..
28. Subfeed Wire Size ga. Cu or AI -A.0 Wire Sze ga
Cu or At
--------------------------------------- ---- --- --- --- _.--- ........... ..
29. Range Circ. r ' ga. Cu or AI -Oven Circ. r � ga. Cu or Al,
Insulated Neutral 0 Yes C1 No
--------- -------------- ...... .......... .... ..
30. Service -Riser Conductors & Ground -Main Disconnect
-------......---- .......... ....... ... ...
31. Equip. Clearances Panel s- Motors- Mech Equip
........ ...... - ------------- - ---- -. ---
32 Clothes Closet Light -Shower Light -Spa Light
-------------- ------- ----- -- ---------- .......... ....... ...
33 Smoke Detector
-------------- ----- -
....... -...._..... ......... . --
. ..-
Date Card B-1 Date Card B-1
-- - --- -- --------- ...
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except P'S
34. A C. Ducts Insulation & Support
------ ........... ... ...
35. Vent Fan: Exhaust above insulation
------- ----- --- -.. ... .. ... ... ..
36 Condensate Dram & Overflow. Size & Grade
37 Furnance-Vent. Access -Comb Air -Return Air Vent -115 outlet
38 Attic Access & Platform -it Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except k s
39 Sils. Proper Material & Anchors
40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sou -id
41. Bearing Walls over Girders & Floor Nailing
42 Draft Stop in Walls (rat proof)
43 Fire Stops. Furred Ceilings -Stairs -Chases -Tub
--- -- --- . ...
44. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors _
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
---------------- ------
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
---------------------------------- -
51. Property Line Firewall & Openings
_________ 52. Ext. Doors -One -3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
---------------------
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
----------------------------------- - -
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
----------------------------- -
60. Infiltration -Walls -Windows
---------------------------
Date-------------Card-B-1------.------- Date ------Card B-1 --
- - - -- ----- --- ---- ------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except n's
_ ____ 61. Ext. Steps -Door &_Sidelight Protection -Landings
62. Smoke Detector
-------------- ----------------------------- - -
63. Furnace. Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
------------------------
64. Bedroom Exiting
- ----------------------------
65 G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
-- -----------------------------
67. Stairs & Rails
68 Fireplace or Stove: Clearances -Hearth
-----------------------------
69 Elec Outlets at Wood Panel: Int. & Ext.
. ... --- -------------------------- -----------
70 Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
------------------------------------- --
71 Elec. Outlets & Receptacles at Kit. Counter
. - - - - - - - - ---- -- - -- --- ------------ ----------
72 Garage Fire Door: Swing -Landing -Closer
73. A.0 Duct in Garage -Damper
.........------------------------------
------------
74. Wtr. Htr.. Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
- ---------------------------------- -----
75. Plb . Elec. & Mech. Equip. Listed for Location
.. --- --- --------------------------------------------- -
76. Elec Receptacles in Garage_ (G_F.I.)_Romex Protection
7-, Insulation -Foam -Looked in Attic 0 Yes
. - - - - -- ----- -- ------ ------------------------
78 Guard Rads & Deck Construction -Post Caps
-. --- ----------------------------------------
79
--------- ----------------------------79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
\ -----------------------------------
80 Following mstld : Drive D Yes C3 No: Walks 0 Yes C1 No:
Planters 0 Yes C1 No
.... - . .. -- . - -------------
81.
------------81. Stucco. Brown -Finish
. _ .-.----------..--------
----
---------
---------
82 A C Unit. Disconnect. Electrical, Plumbing
_. ... .-------------------------- -- ------
83. Vents Above Roof. Plbg -Appliance-Fireplace.-Clearance to
Openings
.. - - - - - - - - - ---------------------------
84 Water Well. Disconnect. Electrical, Plumbing
85 Exterior Elec Trim. G F.I. Receptacle -Underground
- - - -- - -----------------
86 Ventilation Throughout House
87 Glass Protection
------------ -----------------
88 Corrections from Previous Inspections
--- . - ---- -- --- --------------------------
89 Gas Test -Meters Tagged: Gas-Electr ic
90 Water & Sewer Connected -CIO to Grade -HD Approval
91 Energy Compliance Cert,hcate-Other Certificates
_-- --- .-------------- ----------------
Date Card B-1 Date Card B-1
--- . .. ... ------------------------------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION
• 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 1,—„PER T�
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 041-430-025
ZONIAR4H3
BUILDING PERMIT
OWNER THOMAS W. SCOTT
9 NE9578
TELEPHONE -9578
SO FT. OCC. BUILDING VALUATION
OWNERS MAKING ANDRESS
3897 DOUBLETREE RD OROVILLE, 95965
125 �� 13
1, 625.00
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAI'JNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIwOWN
Total Valuation $
f
LENDERS MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ 39.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 25-39
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
3897 DOUBLETREE RD
PERMITFEE $ 84.35
OR OVILLE, 95965
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNSIONSNAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF Y] Duplex ❑ Mobilehome ❑ Other DECK COVER
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: COVER EXISTING DECK
Mobile Home S G W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main ServiceOGOV OR LESS
( 2..A oR LEss )1
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law fob the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. a ACC. BLDS. )
s0,
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID.BRANCH CIRCUITS )
@7.50
( 8 POWER APPARATUS
SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1.00
BAL SO
Ex. Occup. OUTLEETS (RESID.) OR
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
I Fjgreby affirm under penalty of perjury one of the following declarations:
BlVa I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo with comply with those provisions.
1r1�• r
Date %� ����
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60” deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 84.35
HAZ.
D. FEE
��
IMP FLOOD
Cof PARCEL PD H ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ab for which fees have been paid.
/
B Date
Y
PERMITEXPIRESO —'//—/
(Date)
Receipt No. 190313
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
E.H. USE ONLY
plat Plan AIscLed
FIm Plan AUft- d
Alta Seat to B. I
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
_jtMo. d ! dW�lSt tel.
�► %
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other v -1--r 7je_Q/�
Hold final for:
Final clearamce O.K. for:
NOTE: ► .
1 I�- --77
Environmental Health Specialist Date
- ..,�. r y...n':te-:..'^/'l":t•..i�y.h---.,�-.-rr*+.....--,.+,-...:-�... ..c:.r ,�^. w..id' Y'aC9��'°'+,... ..�,.,�...rTtr"_. •G�^:-.-r r `�
COUNTYOF BUTTE - DEPARTMENT,PF/15-E ECOPMENTSERVICES -BUILDING DIVISION
7COUNTYCENTERDRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
7 PERMIT APPLICATIONDATA SHEET
t _
OWNER %rh o a s 4) 5e- o t t - A. P. No. Qq / "13O- D Z-5
Proposed Building Use New e0ya.-e l de -e -k Building Inspector /LA Date // 6 - SS
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
II items have been submitted.
Plot plans 3 sets, signed by preparer of plans. ..... ................... -`ts 2 r,S
Complete p ans, 3/4 sets, signed by preparer of plans . ......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans. ..............
5.
Hazardous Material Form . ................... ....................`
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss detpils and layout in duplicate (required prior to plan check). ....
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ r .........................................
11.
Impact fees as shown on attached schedule. ............................. .
12.
California Department of Forestry plan approval/fees. ....................... .
Vood elevation letter (100 -year flood) by California Engineer. ..:...............
anitation and plot plan approval o Q i (-2 Health Department:............ty
of Chico plumbing permit., ........................................ .
16.
Plot plan and business license approval from City of Biggs/Gridley.... `........... .
17.
Planning approval for (A) Use: (B) Parking: ........
18.
Contact Land Development about (A) Improvements (B) Drainage. .............
19.
Driveway permit (construction approval required prior to occupancy). .. .......
20.
Pre -ins ection for Pre-Inspe�on request
p required. . . to Building Inspector (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ......................... .
23.
Owner-Bylder Verification (Given to owner Mail to owner ............
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter�of signature authorization . ...................................... .
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. ...:.�
27-FLetter of intent on building use . ........................................ .
✓'28.
Mobil home utility clearance. .........�................................ .
29.
Documentation of legal access. ........ .
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list. .'
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
a4
Acreage
Applica Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted
1. Index permit for above items No. _
2. Additional items required:
nce: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Co nt by _ Date
Plans checked by G, a,,j5 Date Plans approved by _C�-, Date -42 - 25
Sets of plans on hold in File cabinet 3 AP folder
Copy - Department of Public Works
Attention Property Owner: 1 .
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
I personally plan to provide the major lab r and materials for construction of the
proposed prop improvement: YES [/f ].
I HAVE[P1 HAVE NOT[ ] signed an application for a building permit for the
proposed work.
a
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNE
SOCIAL SECURITY NUMBER: , _
DATE: %/—j6 —
��_
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
MTVv
Dear Property Owner:
An application for a building permit has been submitted in your name. listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and" these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
S�nrel
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
. COUNTY OF BUTTE
BVILDING DIVISION _
'.` DEPARTMENT OF DEVELOPMENT'SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916),538-7541
�747 Elliott Road, Paradise, CA - (916) 872-6307
TION NOTICE
COF�RE
OWNER I IF -/ PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is -completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date Inspector
REV 10/9[
...
n -
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
May 20, 1993
Attn: Elaine Watson RE: Recent Correspondence
Bank of America A.P.#041-430-025
328 Walker Street
Orland,'CA 95963
Dear Ms. Watson;
With reference to the above subject and your letter dated May 18, 1993, the
house owned by David and Janie Rios at 3897 Doubletree Rd., Oroville is cur-
rently in an ARMH-3 zone which allows residential construction.
If the house is destroyed by fire or other disaster, it may be reconstructed
if in compliance with the building, sanitation and. zoning codes in effect at
the time of reconstruction.
Should you have any questions concerning this matter, please contact this office
at'(916)538-7541.
Yours very truly;
DP:hla Davi .Purvis
Manager, Building Inspection
FROM 0RLH11D P.R c . 7 5, 12. _ 1993 14 33
I� y
!' l r _.
If
Orland Sfanch flou �I of !
Dr C
May 18, 1993
Butte County Building Dept,
?k
ti
Dear Dave Purvis:
N
RE: Parcel: �l. 041-430-025
OVmers:David and Janie Rios
We need a letter from your department regarding the
subject property: that in the event it is fully ur
partially destroyed that it can be rebuilt.
Thanking you in advance: for your help inrthis msttor.
If you have any questions, please feel free to call me
my Chico extension is 891-7124 or Orland 865-4455.
Please Fax your letter to 916 865-5309.
Sincerely,
4
Elaine h Watson
Assistant Vice President
F
Fax Number 916-865-5309
i
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bank of America National Trust and Savings Association* $25 Walker Street Oiland, California 95963
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RESIDENTIAL _
041-430-025 PERMIT#96-0535
SCOTT, Thomas W. I
3897 Doubletree. Rd., Oroville
Conv'To Disabled Access/SF
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JOB FINALED (Date)
Signature
V=OK
O = Not OK r
= Not Applicable
Not Ready RESIDENTIAL (Single
=
Date UNDERFLOOR (Plans) OK except # s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils -Elea Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
b. Stemwalls, Main: Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel -Block outs -Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
0. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
(ter Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
------ ------------------------------------------
-------------
21. Gas Pipe: Size & Anchors
---------
-- -- - - - ---------------------------------------------
Dat - ` Card B-1 Date Card B-1
---FFF - -- --
Date ,�ll _ C-
ard B 1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
-------------------------------------------------------------------------------
23.
----------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------------------------------------------------ ----------
24. Size Boxes & No. of Conductors -Stapled
-- ----------- --------------------------------=--------- - -------------..._._-----
25. Romex Installed Close to Edge of Studs & C.J.
-------------
----- --...-------------`-------------------------------.-----
26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water
-------------------------------- --------------------------------- _....... ........_.
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
-------------------------------- - --------..._..- --- --
22. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
---------------------------------------` -- - --- - - .... -----.... ..
29. Range Circ. r r ga. Cu or AI -Oven Circ. ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-------------------------------------------------------- _ ........ ..
30. Service -Riser Conductors & Ground -Main Disconnect
------- -----------------......_ .................
31. Equip. Clearances Panels-Motors-Mech. Equip.
--- - - ------------ - -.... ....... ....... ..
32. Clothes Closet Light -Shower Light -Spa Light '
---------- ------------------------ ---------- -----------------
33. Smoke Detector
---- -- - - .... ... ---.._....... . .. ..... ....... ....... ..
Date Card B-1 Date Card B-1
.
----------------_..._.............. ..........----- . .. ......... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
A.C. Ducts Insulation & Support
-----------------...-- -------- ---- - - . ......----................ ... .. ....
35. Vent Fan: Exhaust above insulation
------------------------------__... _... .- . .... .. ... ... ..
V36 CondensateDrain & Overflow: Sze & Grade
Li37-Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
..._..... _ ... --- ....... ... ... ..
38 Attic Access & Platform if Furnance in Attic
Dat 2�7 /_ Card B- Date _ Card B-1
j fG .. .
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39. Sils. Proper Material & Anchors
....... ... . ... ... ... ....... ... ... ... .. ..
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
...... ....... ... ... .. .. . ... .......... ...... ..
41. Bearing Walls over Girders & Floor Nailing
- - ................ ..
42. Draft Stop in Walls (rat proof)
...... -- . --- ... I... ....... ..... ..... ... ...
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
----------_... ......I ..._._. _. .-.............. ..... .. ......
44. Headers & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
45. -Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties- Pudin -roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
--------------------- --- -- -
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
------------------ ---- --
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
------------------------ -
50. Garage Fire Protection Framing
_
51. Property Line Firewall & Openings
52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
------------ - --------
55. Siding -Nailing Veneer
----------------- ------ -
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
----------------------------- --- -
58. Shear Walls: Nailino-Bolts
59. Insulation-Walls-Ceili
----------------------------
60. Infiltration -Walls -Windows
-------------------------------------------------- - --
Date Card B-1 Date Card B-1
-------------- ---------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a's
_
61: Ext. -Steps -Door &_Sidelight Protection -Landings
- - 62. Smoke Detector -
63. Furnace Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
----------------------------
64. Bedroom Exiting
65. G.F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel_Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
...... ... --------------------------------
69 Elec. Outlets at Wood Panel: Int. & Ext.
..... .. ----------------------------------------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
...... _._..------------------------------------ --
71. Elec. Outlets & Receptacles at Kit. Counter
...... ... ............------------------------- ---------
72. Garage Fire Door: Swing -Landing -Closer
.......-----------.----------------- ----
73. A.C. Duct in Garage -Damper
...... - - ------------ ------------- -----
74. Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
------------------------- ----
75. Plb.. Elec. & Mech. Equip. Listed for Location
....... ---------------------- -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
--- ---- -----------------------------------------
7,. Insulation -Foam -Looked in Attic ❑ Yes
------ -------------------------------------------- ----
78. Guard Rails & Deck Construction -Post Caps
--- --------------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
---------- --
d0. Following instld.Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
. ...--------------------------------------
81.
.------------------------------------------
81. Stucco: Brown -Finish
----.....----...---------------------- ---------------
82 A C. Unit: Di sconnect.'Electrical. Plumbing
. ... ... ... ... ... ...._......--------------------------- --- ------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
---- ---- - - - - - - --- -----------------------------
64. Water Well: Disconnect. Electrical. Plumbing
... ..... . .....------------------------------------ -
d5 Exterior Elec. Trim: G.F.I. Receptacle -Underground
- ----- -------------------------------
86 Ventilation Throughout House
-- -- - - ------------------
87 Glass Protection
- - ----------------------
88. Corrections from Previous Inspections
vet",s Test -Meters Tagged: Gas -Electric
----------------------------------------
90 Water & Sewer Connected-CrO to Grade -HD Approval
------------------------------
91,
-----91_ Energy Compliance Certificate -Other OCertificates ------------------------
- --
- - -
t Card B - Date _______ Card. d B-1
x--13- -------- -----
Da -----------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments. at Final:
........... ....... - ------------ ------------
16. Ins at on
D
atd B- Date Card B-1
D to
Card 6-1 Date Card B-1
Date
PLUMBING ermit) OK excep '
I
----------
-i6. er Htr.: Vent -Acte -Combustion Ai Baffle
----------�------------- ---------------------------
-- _--- -
Water Pi est & Anchor -Nail Protection
- - -
------------------------------------------------
W.V.: Test -Fittings & Anchor -Nail Protection
Shower Pan; Test. First Floor -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
------ ------------------------------------------
-------------
21. Gas Pipe: Size & Anchors
---------
-- -- - - - ---------------------------------------------
Dat - ` Card B-1 Date Card B-1
---FFF - -- --
Date ,�ll _ C-
ard B 1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
-------------------------------------------------------------------------------
23.
----------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------------------------------------------------ ----------
24. Size Boxes & No. of Conductors -Stapled
-- ----------- --------------------------------=--------- - -------------..._._-----
25. Romex Installed Close to Edge of Studs & C.J.
-------------
----- --...-------------`-------------------------------.-----
26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water
-------------------------------- --------------------------------- _....... ........_.
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
-------------------------------- - --------..._..- --- --
22. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
---------------------------------------` -- - --- - - .... -----.... ..
29. Range Circ. r r ga. Cu or AI -Oven Circ. ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-------------------------------------------------------- _ ........ ..
30. Service -Riser Conductors & Ground -Main Disconnect
------- -----------------......_ .................
31. Equip. Clearances Panels-Motors-Mech. Equip.
--- - - ------------ - -.... ....... ....... ..
32. Clothes Closet Light -Shower Light -Spa Light '
---------- ------------------------ ---------- -----------------
33. Smoke Detector
---- -- - - .... ... ---.._....... . .. ..... ....... ....... ..
Date Card B-1 Date Card B-1
.
----------------_..._.............. ..........----- . .. ......... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
A.C. Ducts Insulation & Support
-----------------...-- -------- ---- - - . ......----................ ... .. ....
35. Vent Fan: Exhaust above insulation
------------------------------__... _... .- . .... .. ... ... ..
V36 CondensateDrain & Overflow: Sze & Grade
Li37-Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
..._..... _ ... --- ....... ... ... ..
38 Attic Access & Platform if Furnance in Attic
Dat 2�7 /_ Card B- Date _ Card B-1
j fG .. .
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39. Sils. Proper Material & Anchors
....... ... . ... ... ... ....... ... ... ... .. ..
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
...... ....... ... ... .. .. . ... .......... ...... ..
41. Bearing Walls over Girders & Floor Nailing
- - ................ ..
42. Draft Stop in Walls (rat proof)
...... -- . --- ... I... ....... ..... ..... ... ...
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
----------_... ......I ..._._. _. .-.............. ..... .. ......
44. Headers & Beam -Size & Bearing
& Duplex)
Date FRAMING (Continued)
45. -Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties- Pudin -roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
--------------------- --- -- -
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
------------------ ---- --
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
------------------------ -
50. Garage Fire Protection Framing
_
51. Property Line Firewall & Openings
52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
------------ - --------
55. Siding -Nailing Veneer
----------------- ------ -
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
----------------------------- --- -
58. Shear Walls: Nailino-Bolts
59. Insulation-Walls-Ceili
----------------------------
60. Infiltration -Walls -Windows
-------------------------------------------------- - --
Date Card B-1 Date Card B-1
-------------- ---------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a's
_
61: Ext. -Steps -Door &_Sidelight Protection -Landings
- - 62. Smoke Detector -
63. Furnace Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
----------------------------
64. Bedroom Exiting
65. G.F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel_Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
...... ... --------------------------------
69 Elec. Outlets at Wood Panel: Int. & Ext.
..... .. ----------------------------------------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
...... _._..------------------------------------ --
71. Elec. Outlets & Receptacles at Kit. Counter
...... ... ............------------------------- ---------
72. Garage Fire Door: Swing -Landing -Closer
.......-----------.----------------- ----
73. A.C. Duct in Garage -Damper
...... - - ------------ ------------- -----
74. Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
------------------------- ----
75. Plb.. Elec. & Mech. Equip. Listed for Location
....... ---------------------- -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
--- ---- -----------------------------------------
7,. Insulation -Foam -Looked in Attic ❑ Yes
------ -------------------------------------------- ----
78. Guard Rails & Deck Construction -Post Caps
--- --------------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
---------- --
d0. Following instld.Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
. ...--------------------------------------
81.
.------------------------------------------
81. Stucco: Brown -Finish
----.....----...---------------------- ---------------
82 A C. Unit: Di sconnect.'Electrical. Plumbing
. ... ... ... ... ... ...._......--------------------------- --- ------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
---- ---- - - - - - - --- -----------------------------
64. Water Well: Disconnect. Electrical. Plumbing
... ..... . .....------------------------------------ -
d5 Exterior Elec. Trim: G.F.I. Receptacle -Underground
- ----- -------------------------------
86 Ventilation Throughout House
-- -- - - ------------------
87 Glass Protection
- - ----------------------
88. Corrections from Previous Inspections
vet",s Test -Meters Tagged: Gas -Electric
----------------------------------------
90 Water & Sewer Connected-CrO to Grade -HD Approval
------------------------------
91,
-----91_ Energy Compliance Certificate -Other OCertificates ------------------------
- --
- - -
t Card B - Date _______ Card. d B-1
x--13- -------- -----
Da -----------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments. at Final:
........... ....... - ------------ ------------
V=OK
O = Not OK
Not Appli
'=Not Readyble MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Sewer; Location-Test-Fall-C/0-Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location-Test-Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location-Test-Wrap; / PL'ft.
/ /Nat. or/ /2't.1 /LPG
6. Carports; Windows -Doors
7. Well Clearance 8 Disconnect
7. Electric
8. Utility Clearance
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size-Spacing-Marriage Line
Card B-1 Date Card B-1
3. Gas; MH Test-Demand Valve-Connector
POOLS (Plans) OK except #'s
4. Electricity; MH Test-Crossovers-Breakers-Clearances
1. Setbacks -Easements
5. Drain; MH Test-Fall-Flex Connector
2. Soils; Compaction -Structure Stability
6. Water; MH Test-Regulator-Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
7. Water and Sewer Connected-C/0 to Grade-HD Approval
4. Elec.; Receptacles and Lighting, Distance -GA
8. Gas and Electricity Tagged
5. Elec.; Pool Lighting; 15 Volts -GA
9. Tie Downs-Type-Installation Cert.
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
10. Exits; Insp.-Sketch
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
11. Cert of Occupancy
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelbdards-Ins. to Main in Conduit
9. Health Department Approval
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GA
5. Elec.; Pool Lighting; 15 Volts -GA
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelbdards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
'7COUATY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ' I
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT
APPLICATION AND PERMIT -
ASSESSOR PARCELNUMBER
041-430-025
ZONINGTJ
ARM,.3
BUILDING PERMIT
OWNERT
THOMAS W SCOTT
TELEPHONE
892-9578
SO. FT. OCC. BUILDING VALUATION
164 C 2,132.00
OWNERS MAILING ADDRESS
3897 DOUBLETREE RD OROVILLE; 95965
EST 33,868.00
CONTRACTOR'S NwME
OWNER
TEIE'PHONE
CONTRACTORS M..IUNG ADDRESS
Fireplace
CONSTRUCTION LENDER NONE
UNKNOWN
Total Valuation $ 36,000.00
Fling Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 323.50
ARCHITECT OR ENGINEER NONE
LICENSE NO.
Plan Checking Fee $ 35.10
Energy Plan Checking Fee $
ARCHITECT OR EN31NEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRES3
3897 DOUBLETREE RD
PERMITFEE $ 373.60
OROVILLE 95965
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 3 1 7.00 21.00
LOT NO.
S UBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00 15.00
USEOFSTRUCTURE
SF ❑X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other
Describe Work: _CONV- TO DTSABT,FD ACCFSS- (CONN MASTER
ATII - WIDEN HALLWAY, A -FID 5 POCKET D002S , ADD
Mobile Home I S I GI W @20.00
PERMITFEE 71.00
S
Contractor
ELECTRICAL PERMIT Filina Fee 20.'00
COV BR=RWAY)
Main Service a V OR LESS
( 200AORLESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affi; m under penalty of perjury that I am licensed under provisions of Chapter
9.(commenc:ing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law fo he hollowing reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR so.
OR ADDNS. ( & ACC. BLOS. ) 3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( & POWER APPARATUS )
SINGLE OUTLET CIR.
EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL 0 .50
Ex. Occup. ( 0FIXED ETS(R ISE ISE . OR
A ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE _
Contractor
WORKERS' COMPENSATION DECLARATION
I her affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
eating
.15.00
Cooling 4 TON 25.00
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo h - mply with those drovis
?_/. 5�
X a _ Date d
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee is
Occ
CONST. TYPE
TOTAL FEE $ 509.60
HAZ.
�-
I D. FEES
IMP FLOOD
,r -�
CDF PAfipEL PD `D
.� -Y/ X
5su
This permit is hereby issued under tale applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By to �� 96
PERMITEXPIRESON
I (Date)
ReceiptNo- 194761
WHITE-D.D.-3.-R.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
A
I.— - 1
T(*. A Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
USE ONLY/V
M PI./V—
IYfachad
Sad wE.n. t3 x t Aje.
f At)m A7s- Scc�-IT 30 qF
Owner Location YC C A tvcID. Ap t
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile hom . er COU(--4P—k;D 62;z<- to AY,
final for:
O.K. for:
1,41
/3A,
Environmental Health SpedMist Date
R/92
.-.+..•..-.c�wr;.�.-+s._..+A.��.y...-•,�.r+t7'.a-.a`.•�'r�•rch-::lsii•:^vf„Ti'F��#,,�r5' l..t'�4++"�S�(X71'�r�-1+``rSt'�..+::�"R`Yi-..""vi�'1�;;.....�:.w::.,.j... :r".f. w.e.".moi-i�"`::-rY. y -.ry.r ,. �.:..�.,. a... _.. '
"y
COU�VTY`OPBUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER �f'( C]�Yl C!S 6.10-0
tf-
Proposed Building Use 45 gee ae wo
I
rgspector
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
-
DATE RECEIVED BY
1.
All items have been submitted . ....................................... .
2.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans . .......................
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. .
5.
Hazardous Material Form. ................................... f ....... .
' 6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ... .
9.
Mobilehome data and manufacturer's installation instructions, 2 sets±'-'."'..........
10.
Fees of $................................" ....... .
11.
Impact fees as shown on attached schedule . ...............................
12.
California Department of Forestry plan approval/fees. ....................... .
13.
14.
Flood elevation letter 100 year flo ���byy C Ifggrnia Engineer .. .
Sanitation and plot plan approval YYJV i(�C Health Department. ..........
15.
City of Chico plumbing permit . ........................................ .
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking:
18.
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). .. . . -
20.
Pre -inspection for Pre+"�e�°"reQ°eat
req u fired. .. to B�fIdi"9 ,"spedor (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
Owner -Builder Verification (Given to owner , Mail to owner ............
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ............... � s
26.
Copy of recorded deed of parcel creation and 60 righ , of way to a public road. .... .
27.
Letter of intent on building use . ......................................... ►�'
28.
Mobilehome utility clearance . ..........................................
29.
Documentation of legal access . ..................... :..................
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
=
and (B) Parcel meets zoning area and frontage requirements. ........... ':.. .
31.
Existing violations/expired permits . ......................................
32.
Plan checklist ......................................................
33.
34.
*,,When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other 1217
Parcel Creation
Acreage Applican Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept.-- Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. h
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail p Counter by -Date
Plans checked by Date � a� Plans approved by Date 3 "'
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES[ NO[ ].
2. I HAVE["" HAVE NOT[ ] signed an application for a building permit for the
proposed work
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
_NA1�IE ADDRESS PH0NNE TYPE OF WORK
SIGNED:
PROPERTY OWNE . � 2:&
SOCIAL SECURITY NUMBER: _-) _�)
DATE: I ��
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit Building permits are not required to be signed by property owners unless they are personally
performing their own work If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is S300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of uniicensed persons professing to be contractors is to secure an "ow�erbuiider''
building permit, erroneously implying that the property owner is providin; his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95314.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerelv,
f
Micha4l C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code.
OVER
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (9) d) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
MIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. you have any questions pertaining to this matter, or need additional explanation,
please C21fact this office immediately.
.XC> A , / /1 / ( ./I e I 1
P
Date Y—k—Inspector \:22i7im ( �t�
REV 10/92
041-43-0-025 96-0973 P,E
:., SCOTT, Thomas. W
897 Doublet ee RQQad
gas wtr�htr�elecJ Poor Little C:
a
y
�s
T�
041-43-0-025 96-0973 P,E
:., SCOTT, Thomas. W
897 Doublet ee RQQad
gas wtr�htr�elecJ Poor Little C:
1<
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 .County Center Drive - Oroville, I!alifornta 95965 - Telephone (916) 538-7541 PERMIT O.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER041—x+30-023
zoNfr� „�3
BUILDING PERMIT \ /
OWNER 7110MAS W. SCOTT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 3897 DOUBLETREE RD OROVILLE, 95965
CONTRACTOR'S NAME POOR LITTLE CONSTRUCTION
JTrs=§519
CONTRACTORS MAILING ADDRES,�ONG
Fireplace
CONSTRUCTION LENDER
UNWOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS NONE
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDINGADDRESS 3897 DOUBL,T,REE RD
PERMITFEE
_
OROVIME
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO. SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
V
SF [I Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1- 5 outlets
p p g y
15.00 15000
Building sewer
15.00
TYPE OF WORK
v
New ❑ Addition ❑ Remodel ❑ Utilities 131 Installation ❑ Other ❑ 1
Describe Work: GAS WATER HEATER & MISC ELK I
REI B.P.96-0654
Mobile Home I S I GI W
@20.00
PERMITFEE
_ . 00
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.00
Main Service a0OV OR LESS
( 2000A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
�Q I, as owner of the property, am exclusively contracting with licensed contractors
' \ to construct the project. i
❑ 1 am exempt under Sec. Business and Professions 'Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( a ACC. BLDS. )
SO
3.50 FT..
NEW CONST.MULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( d POWER APPARATUS )
SINGLE OUTLET CIA.
Ex. Occup. (OUTLET OR FIXTURES)
20 Q 1.00
BAL .50
Ex. Occup. FIXED
. ORA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 s
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent -to self -insure` for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
-X g a u- O ' __ Date v_
Sire of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 93.00
HAZ.
1 D. FEES
I IMP
I FLOOD
I CDF PARCEL I PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By mac% .64*c-
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
been paid.
/�/
Date 7 E�
(Date)
Receipt No. r / J S
.WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 P RM O.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 041-430-025
'NMMH3
BUILDING PERMIT
OWNER THOMAS W. SCOTT
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 3897 DOUBLETREE RD OROVILLE, 95965
CONTRACTOR'S NAME POOR LITTLE CONSTRUCTION
TM -N9519
CONTRACTOR'S MAILING ADDRESNONE
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
NONE
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS 3897 DOUBLETREE RD
PERMITFEE $
PLUMBING PERMIT
Filing Fee 20.00
OROVILLE
Each Trap
7.00
LOT NO.SUBDNISION'S
NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF 6 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities EX Installation ❑ Other ❑
Describe Work: GAS WATER HEATER & MISC ELEC
—
RE: B.P.96-0684
Mobile Home I S I G W 1
920.00
PERMITFEE g
50.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service e00V OR LESS
( zooA OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
f I, as owner of the property, am exclusively contracting with licensed contractors
• \ to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS, 8 ACC. BLDS. )
SD.
3.5¢ FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
EX. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
BAL .30
Ex. Occup. FIXED
OUTLETS D.OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
MiscWiring
.
2
23.00 3.00
PERMITFEE S
43,00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE S
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
YN I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
f it mply with tho e p vis'This
/
_ CSO _ Date I ^ G
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee is
OCC
CONST. TYPE
TOTAL FEE $ 93.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF PARCEL I Po MD
ISSUE
permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
) PIRESON
PERMIT EV�XZ4
(Date)
Receipt No.
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
M
041-430-025 PERMIT#96-068 4
SCOTT, Thomas W.
389.7-Double'tree Rd., Oroville
Cont' -,Poor Little Const.
Reroof/SF
�:•
rye— o���
rA-
M
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER Q4130-025 ,
ZONING 3
BUILDING PERMIT
OWNER THOMAS W. SCOTT �_ � -�- '
THOMAS
8912!'1-9�{Si51T78
SQ. FT. OCC. BUILDING VALUATION
1440
OWNERS MAILING ADDRESS '74
3897 DOUBLETREE RD OROVIM- 95955
CONTRACTOR'S NAME
POOR LITTLE CONST
TELEPHONE
533-9519
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS 3897 DOUBLE
TRF',.,
PERMITFEE S
PLUMBINGPERMIT Filing Fee -20.00
OROVILLE
Each Trap 7.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
1
Solar Or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF Oi Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1
I
Describe Work: RFROOF t
Mobile Home S I G I W @20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filinq Fee 20.00
Main ServiceE00V OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
I
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in afull force and effect.
License Class 9 Lic. No. (� 1 y I n i
OWNER -BUILDER DECLARATION i
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: 1.
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason I
NEW CONST. DWELLING OCCUR SO.
OR ( d ACC. BLDS. ) 3.5Q FT.
NEW CNS.
CONST. MULTI- OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POSINGWER APPARATUS )
8 LE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES) 20 @ t.00
BAL so
EX. Occup. ( OUTLETS RESID.) OR5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION i
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred, dollars ($100) or less.)
j, I certify that in the,performance of the work for which this permit is issued, I shall ,
not employ any person In any manner so as to become subject to workers'
compensation law's of California; and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X 'h r.n.�.ner Date �-�-
Si nature of A licant - O Contractor ❑ Agent
9 9
PP
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over3.stories in height:
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 55.00
HA2.
D. FEES
IMP ROOD
COF PARCEL PD HD
5SUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BY � /Date/
PERMITEXPIRESON
(Date)
Receipt No. 195125
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON
7 .County Center Drive - OroWle, C& ifornia 95965 - Telephone (916) 538-7 PERMIT NO.
APPLICATION AND PERMIT _
ASSESSOR PARCEL NUMBER
041-430-025
ZONING
AP14H 3
BUILDING PERMIT
OWNER
THOMAS W. SCOTT
TELEPHONE
892-9578
SO. FT. OCC. BUILDING VALUATION
94 1440
OWNERS MAILING ADORESS
3897 DOUBLETREE RD OROVILLE 95965
CONTRACTOR'S NAME
POOR LITTLE CONST
TELEPHONE
533-9519
CONTRACTOR'S MAILING ADDR
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAILING AEDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ .
ARCHITECT OR ENGREER'S MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
3897 DOUBLETREE RD
PERMITFEE
$ 55.00
OROVILLE
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF EX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe WQk: RFRODE
Mobile Home S G W
@20.00
PERMIT FEE
g
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service 000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class 19 Lic. No. 1 Ll Ci 1 In
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will dc- the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ACDNS. ( 8 ACC. )
SO.
3.5¢ FT.
NEW CONST. MULTI-OUTLEUTLE T
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIA.
Ex. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
BAL @ .SO
Ex. Occup. ( 0FIXEED PES D.OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
_
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Police_ Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certFy that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith cc ply with th9pe provisions.
X Date ��_
Sign tture of Appli ant - b Owner Et Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee is
Occ
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
I D. FEES
I IMP I FLOOD
I COF
PARCEL
I PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By64",
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date � `Q �7
�(' " l /
(Date)
Receipt No. 195125
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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DeciC
BUTTE COUNTY
BUILDING DEPARTMEN ►
APPROVED
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Accordance With Recognized Ca090(Practices and.
of a quality prescribed for the Spe#+ed use in. tt 3'
Uniform Building, Plumbing & Mechanical Codes and'
st+ie National Electrical Code.
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DeciC
BUTTE COUNTY
BUILDING DEPARTMEN ►
APPROVED
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BUTTE COUNTY
BUILDING DEPARTMENI
APPROVED
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